This study examined differences among obstetricians, family physicians, and certified nursemidwives in the patterns of obstetric care provided to low-risk patients.
For a random sample of Washington State obstetrician-gynecologists, family physicians, and certified nurse-midwives, records of a random sample of their low-risk patients beginning care between September 1,1988, and August 31,1989, were abstracted.
Certified nurse-midwives were less likely to use continuous electronic fetal monitoring and had lower rates of labor induction or augmentation than physicians.
Certified nurse-midwives also were less likely than physicians to use epidural anesthesia.
The cesarean section rate for patients of certified nurse-midwives was 8.8% vs 13.6% for obstetricians and 15.1% for family physicians.
Certified nurse-midwives used 12.2% fewer resources.
There was little difference between the practice patterns of obstetricians and family physicians.
The low-risk patients of certified nurse-midwives in Washington State received fewer obstetrical interventions than similar patients cared for by obstetrician-gynecologists or family physicians.
These differences are associated with lower cesarean section rates and less resource use.
Mots-clés Pascal : Soin, Obstétrique, Faible, Risque, Femme, Homme, Pratique professionnelle, Médecin généraliste, Médecin, Spécialité médicale, Sage femme, Comportement, Etude comparative, Etats Unis, Amérique du Nord, Amérique, Gestation, Personnel sanitaire
Mots-clés Pascal anglais : Care, Obstetrics, Low, Risk, Woman, Human, Professional practice, General practitioner, Physician, Medical specialty, Midwife, Behavior, Comparative study, United States, North America, America, Pregnancy, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0290301
Code Inist : 002B30A05. Création : 15/07/1997.